IndividualActive
Charles Headrick, MD
NPI 1265537831 · Colon & Rectal Surgery Physician · Tarzana, CA
Provider details
- NPI number
- 1265537831
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A 48418 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5525 Etiwanda Ave
#201
Tarzana, CA 91356
Phone: (818) 996-8505
Fax: (818) 996-8503
Approximate (ZIP-level) locationGet directions
Mailing address
5525 Etiwanda Ave
Tarzana, CA 91356
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.